NPIMap

Organization Active NPI

King George Medical Center LTD

  • Family Medicine Physician
  • King George, VA
National Provider Identifier
1609818160
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101020720 Issued in VA
Legal business name
KING GEORGE MEDICAL CENTER LTD
Practice address
16463 Dahlgren Rd
King George, VA 22485-5810
Phone
(540) 663-2188
Fax
(540) 663-0632
NPI assigned
Jun 11, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Geoffrey Schwartz
Title
Treasurer
Phone
(540) 371-4488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101035907 VA
Family Medicine Physician 207Q00000X 0101020720 VA Primary

Addresses

Primary practice location

16463 Dahlgren Rd
King George, VA 22485-5810

Mailing address

PO Box 845
Fredericksburg, VA 22404-0845
Phone (540) 371-4488

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1609818160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040845",
            "telephone_number": "540-371-4488",
            "fax_number": "540-371-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 DAHLGREN RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855810",
            "telephone_number": "540-663-2188",
            "fax_number": "540-663-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING GEORGE MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "540-371-4488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101035907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101020720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.